The Pursuit of Happiness at Work: Norris Cotton Cancer Center

 

Valley News March 26, 2004
Donald Maurice Kreis

Thomas Jefferson has finally been vanquished in Lebanon!   Thomas Jefferson the architect, that is.

See for yourself by driving up to the main entrance of the Dartmouth Hitchcock Medical Center.   Behold the familiar scene of ponderous symmetry, a throwback to famous Jefferson buildings like Monticello and the University of Virginia library, rendered here with a bland office-park aesthetic in metal panels of white and Dartmouth green.

Then look to the right, at the newly tall Norris Cotton Cancer Center.   Now nine stories in height (including the mechanical penthouse) after a $31 million renovation, the cancer center retains the boxy profile characteristic of the hospital’s vast and growing facilities.   But jazzily appended to the right-hand corner of the tower, taking up most of the main façade, is a kind of module encased in a glass curtain wall, ablaze by night with the glow of the gold-colored atrium spaces within.   It breaks the box, so to speak, because it projects outward by precisely two feet, eight inches.   Who let this happen?

“There’s a kind of sensory experience that starts to make the building resonate,” explains architect Malcolm Kent, the cancer center project’s design principal and one of the guilty parties.   According to Kent, he and his colleagues at the Boston firm of Shepley, Bulfinch Richardson and Abbott sought to “animate” this important piece of DHMC, which itself is just a part of the institution’s ongoing $224 million “Project for Progress” expansion program.

Granted, the cancer center’s new look is not as radical as the wild curving modules of the new Stata Center at MIT, similar in program to the cancer center and designed by celebrity architect Frank Gehry.   But Kent and his colleague Adrian Walters, the expansion’s project designer, did not have the luxury of starting from scratch.   They faced something far more challenging.

In a way, it all goes back to Henry Hobson Richardson, the most renowned American architect of the late 19 th Century – whose style was so distinctive it has a name of its own:   Richardson Romanesque.   Shepley Bulfinch is the direct descendant of the firm Richardson founded.   History and tradition loom large at place like that.

However, it is not Richardson but a more recent predecessor, the late Lloyd Acton, whose storied legacy Kent and Walters confront in this instance.   Acton was the Shepley Bulfinch principal in charge when the firm designed the original DHMC complex in Lebanon, which opened in 1991.

Kent’s late colleague designed DHMC “from the inside out,” he explains.   “Lloyd was interested in what motivates people . . . in how people work in [an architectural] space.”

In other words, the exterior of DHMC was not the top priority – hence its resemblance to an office park (and its drive-up porte-cochere sheltering the entrance, which looks as if it was designed by the firm’s high school intern).   Acton and his client wanted to create interior spaces that would allow everyone – patients, care-givers, visitors – to thrive.   As a result, for example, the sky-lit mall along which the complex is organized has become a kind of village square for the hospital and the world beyond.   The mall is cleverly planned to promote privacy – patients can move via other passageways – as it welcomes.   Inpatient rooms are in pods arrayed around a central nurse’s station – because studies showed a direct correlation between success of the hospital stay and distance from that station.

What Kent and Walters have added to this mix is something even more rare:   spaces for employees that are designed as if those employees really mattered.   It’s one thing to design malls, examining rooms and inpatient wards that are life-affirming; those are all places the public frequents.   But the cancer center is all about research.   The scientists who work there, in labs and offices, will seldom if ever encounter patients or their families in their immediate workplaces.

The architects credit the cancer center’s director, Dr. Mark Israel, with being the driving force behind giving the building a sense of what the director himself calls “distinctiveness, openness and lightness.”   Israel, a pediatric oncologist, points out that the quest to cure cancer has gone “interdisciplinary” as it has become more high-tech and complicated.   So, Israel decided he wanted his building to go interdisciplinary as well – while looking sufficiently inviting to attract the kind of first-rate scientists who are also courted by the big-city research institutions.

Dartmouth Medicine, the hospital’s in-house magazine, recently traced the new cancer center’s architectural lineage to John Portman, famous for designing tall 1970s hotels with big atriums and lots of balconies.   In truth, the expansion that Israel commissioned is rich and warm where Portman’s buildings are barren and cold.   A more significant antecedent is the Whitehead Institute for Biomedical Research, completed in 1984 and designed by the Boston firm of Goody Clancy.

At the Whitehead Institute, laboratories are also hallways.   There are lounges on each floors, which are connected by open stairways.   Hallways feature chalkboards to facilitate spontaneous scientific brainstorming.   Kent credits the Goody Clancy design with the breakthrough principle that research buildings ought to be specifically designed to get the researchers out of their warrens and talking to each other.

Thus, at the new Norris Cotton Cancer Center, research spaces on the two new laboratory floors are open and flexible – what Kent calls “lab lofts.”   The research benches are completely modular, with each individual furnishing height-adjustable and moveable.   They are arrayed in rows, with a generously large window at one end and what scientists call the “wet” equipment at the other, where one can also move from row to row, and access supply rooms, without using an outside hallway.   The lab design does not merely allow, but actually encourages, wandering and interaction by beckoning the scientists to the points of junction with nearby lab spaces.   Even the color scheme, warm red and gold, feels more friendly and comfortable than the traditional Dartmouth green.

Scientific protocol, not architecture, dictates that no eating take place in the labs.   So, outside the lab spaces on both the sixth and seventh floors, is a service hallway featuring heavy equipment and a glass box of a break room.   The two glass boxes are interconnected by a spiral staircase that serves as a kind of inviting sculpture or folly, humanizing an otherwise-dark space at the core of the building’s rectangular plan.

The eighth floor is all private offices.   In a big rectangle like the cancer center, this inevitably means some work spaces lack an outside window.   It is now beyond argument that natural light is the key to a pleasant office, but it is a reality that most workplaces (including the 1991 incarnation of DHMC) essentially ignore as too expensive and complicated to address.   Not so at the cancer center, where a continuous band of clerestory windows seems to separate every interior wall from the ceiling, allowing the natural light to penetrate nearly every corner while unifying the complex beneath a continous plane that appears to float above.

Finally, both the office floor and the two lab floors open onto a very un-Portman-like atrium, which is the golden space that from the outside seems ablaze behind the curtain wall.   It is a modest miracle – not as awesome as the soaring wing-like structure Santiago Calatrava plans for the train station at the World Trade Center, but still reflecting a rarity in hospital design:   a finely tuned balance between unity and diversity.

The unity arises out of the smoothness of the glass curtain wall, the gold color scheme, the curved acoustical panels that crown the space (a motif echoed in the labs), an undulating three-story wave of sculptural glass and, indeed, the very existence of an open space that brings the separate floors of the building into communion.   Unity also creeps in through details – lines in wood panels and window panes that correspond to those of the original complex, distinctive railings, even the specially selected tan-colored pebbles in the foreground, covering the roof just outside the curtain wall.

Diversity lies in the varying projections of each floor’s balcony, Walters having persuaded Kent to break them out in this fashion.   One senses this as well in the various lines in different planes, formed by covered steel girders just behind the curtain wall – an artful ruse, it turns out, to deal structural complexities one encounters when designing atop an existing building.   Walters is especially fond of the ceramic tile floor at the bottom, a custom bird design he created out of repeating 60 degree angles that pays tribute to M.C. Escher’s famed interlocking patterns.

One feature in particular expresses both diversity and unity – that two feet, eight inches by which the atrium and its curtain wall project outward.   It’s a rebellion against the uniformity of the rest of DHMC, but it also makes the atrium architecturally coherent by clearly showing on the outside what’s happening on the inside.   In architectural parlance, the façade expresses the plan.

Israel speaks proudly of the daily 3:00 tea in the atrium, already a venerable tradition, and the need to add more chairs and tables to accommodate all the people who want to use the space.   The architects shrug off the notion of social engineering, an architectural imperative that went out with 1960s slum clearance, but they do indeed seem to have created a legitimate social phenomenon with their atrium.

“It’s how you animate the building, so people experience it as a whole,” explains Kent.   The views offer not just the inspiration of the evergreen Connecticut River Valley hills, but something less obvious – a visual connection to the rest of the DHMC complex.   Thus, according to Kent, the cancer center researchers “are always aware there are other buildings they can have a part of” and therefore gain a sense of connection to the larger medical enterprise.

Here is the secret that allowed Kent and Walters to pull this off.   Forget the stereotype of nerds with plastic pocket protectors.   It turns out that scientists make great architectural clients.

“Because they’re smart people to begin with, they see the virtue of things early on,” Kent reports.   And, when it comes to aesthetics, “they get it.”   According to Kent, “there’s a kind of connection between music and the scientific mind,” so when he proposed an atrium, the cancer researchers immediately started imagining performances in the space.

The result is Stravinsky to the 1991 hospital’s Haydn, and an excellent precedent for those wondering how the hospital is spending the rest of the $224 million.   But the real achievement is the example these scientific researchers set for everyone else in the Upper Valley who works indoors.   Someone around here has finally noticed that good spaces mean good employees producing good things.   It’s a revolution Jefferson, an architect who knew something about the pursuit of happiness, would definitely have appreciated.

 

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